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    <title>Lab Analysis page</title>
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<body>
	<div data-role="page" id="LabUser">
		<div data-position="fixed" data-role="header" align="center" data-theme="b">
			<div>&nbsp;</div>
			<div><h1>PARVATI SOLVENTS EXTRACTION PVT LTD</h1></div>
			<div><h3>GUT NO.76, KHADGAON,TALUKA: BADNAPUR,DISTRICT:JALNA-431203,MAHARASHTRA,INDIA</h3></div>  
		</div>
		<br>
		<div data-role="content">
			<form id="form">
				<!-- <div>
					<table>
					<tr>
						<td><label for="barcode"><h4>BARCODE :</h4></label></td>
						<td><input type="text" id="barcode" readonly="readonly"/></td>
					</tr>
					</table>
				</div> -->
				<!-- <br> -->
				<div>
					<table border="1" align="center">
						<thead>
							<th colspan="6" align="center">PURCHASE VOUCHER</th>
						</thead>
						<tbody>
							<tr>
								<td width="10%" class="tableContentTitle"><label for="po_no" align="center"><b>PO NO.</b></label></td>
								<td width="15%"><input class="textBoxClass" type="text" id="po_no" placeholder="1009" readonly="readonly"/></td>
								<td width="10%" class="tableContentTitle"><label for="broker" align="center"><b>Broker Name</b></label></td>
								<td width="15%" colspan="3"><input class="textBoxClass" type="text" id="broker" placeholder="Broker Name" readonly="readonly"/></td>
							</tr>
							<tr>
								<td width="10%" class="tableContentTitle"><label for="date" align="center"><b>Date</b></label></td>
								<td width="15%"><input class="textBoxClass" type="date" id="date" placeholder="12.10.2012"/></td>
								<td width="10%" class="tableContentTitle"><label for="party" align="center"><b>Party Name</b></label></td>
								<td width="15%" colspan="3"><input class="textBoxClass" type="text" id="party" placeholder="Party Name" readonly="readonly"/></td>
							</tr>
							<tr>
								<td width="10%" class="tableContentTitle"><label for="vehicle" align="center"><b>Vehicle</b></label></td>
								<td width="15%"><input class="textBoxClass" type="text" id="vehicle" placeholder="MH 44 6420" readonly="readonly"/></td>
								<td width="10%" class="tableContentTitle"><label for="address" align="center"><b>Address</b></label></td>
								<td width="15%" colspan="3"><input class="textBoxClass" type="text" id="address" placeholder="Address" readonly="readonly"/></td>
							</tr>
							<tr>
								<td width="10%" class="tableContentTitle"><label for="bags" align="center"><b>Bags</b></label></td>
								<td width="15%"><input class="textBoxClass" type="number" id="bags"/></td>
								<td width="10%" class="tableContentTitle"><label for="city" align="center"><b>City</b></label></td>
								<td width="15%" colspan="3"><input class="textBoxClass" type="text" id="city" placeholder="City" readonly="readonly"/></td>
							</tr>
							<tr>
								<td rowspan="2" colspan="2" align="center"><b>SOYABEAN PURCHASE DETAILS REPORTS</b></td>
								<td colspan="4" align="center"><b>REPORTS</b>
									<tr>
										<td align="center"><b></b></td>
										<td align="center"><b>Actual %</b></td>
										<td align="center"><b>Excess %</b></td>
										<td align="center"><b>Rate Reduced</b></td>
									</tr>
								</td>
							</tr>
							<tr>
								<td class="tableContentTitle"><label for="particular" align="center"><b>Particulars</b></label></td>
								<td><input class="textBoxClass" type="text" id="particular" readonly="readonly"/></td>
								<td class="tableContentTitle"><label for="particular" align="center"><b>Sand/Silica</b></label></td>
								<td><input class="textBoxClass" type="text" id="sandActual"/></td>
								<td><input class="textBoxClass" type="text" id="sandDiff" readonly="readonly"/></td>
								<td><input class="textBoxClass" type="text" id="priceSubSand" readonly="readonly"/></td>
							</tr>
							<tr>
								<td class="tableContentTitle"><label for="particular" align="center"><b>Weight</b></label></td>
								<td><input class="textBoxClass" type="text" id="weight"/></td>
								<td class="tableContentTitle"><label for="particular" align="center"><b>Moisture</b></label></td>
								<td><input class="textBoxClass" type="text" id="moistureActual"/></td>
								<td><input class="textBoxClass" type="text" id="moistureDiff" readonly="readonly"/></td>
								<td><input class="textBoxClass" type="text" id="priceSubMoisture" readonly="readonly"/></td>
							</tr>
							<tr>
								<td class="tableContentTitle"><label for="particular" align="center"><b>Rate</b></label></td>
								<td><input class="textBoxClass" type="text" id="rate"/></td>
								<td class="tableContentTitle"><label for="particular" align="center"><b>Damage</b></label></td>
								<td><input class="textBoxClass" type="text" id="damageActual"/></td>
								<td><input class="textBoxClass" type="text" id="damageDiff" readonly="readonly"/></td>
								<td><input class="textBoxClass" type="text" id="priceSubDamage" readonly="readonly"/></td>
							</tr>
							<tr>
								<td class="tableContentTitle"><label for="particular" align="center"><b>Gross</b></label></td>
								<td><input class="textBoxClass" type="text" id="gross" readonly="readonly"/></td>
								<td class="tableContentTitle"><label for="particular" align="center"><b>Unloading</b></label></td>
								<td></td>
								<td></td>
								<td><input class="textBoxClass" type="text" id="costUnload"/></td>
							</tr>
							<tr>
								<td class="tableContentTitle"><label for="particular" align="center"><b>Less Rebate</b></label></td>
								<td><input class="textBoxClass" type="text" id="less" readonly="readonly"/></td>
								<td class="tableContentTitle"><label for="particular" align="center"><b>Cash Discount</b></label></td>
								<td></td>
								<td></td>
								<td><input class="textBoxClass" type="text" id="discount"/></td>
							</tr>
							<tr>
								<td class="tableContentTitle"><label for="particular" align="center"><b>Add Dalali</b></label></td>
								<td><input class="textBoxClass" type="text" id="addDalali"/></td>
								<td class="tableContentTitle"><label for="particular" align="center"><b>Advance</b></label></td>
								<td></td>
								<td></td>
								<td><input class="textBoxClass" type="text" id="paidAdvance"/></td>
							</tr>
							<tr>
								<td class="tableContentTitle"><label for="particular" align="center"><b>TotalR</b></label></td>
								<td><input class="textBoxClass" type="text" id="totalR" readonly="readonly"/></td>
								<td class="tableContentTitle"><label for="particular" align="center"><b>Total Rebate</b></label></td>
								<td colspan="2"></td>
								<td><input class="textBoxClass" type="text" id="totalRebate" readonly="readonly"/></td>
							</tr>
						</tbody>
					</table><br>
					<div data-role="controlgroup" data-type="horizontal" align="center">
					<button type="button" id="calculate" value="Calculate" data-theme="a"></button>
					<a data-role="button" id="btnemail"data-theme="a">Email</a>
				</div>
				</div>	
			</form>
		</div>
		
	</div>
</body>
